This paper
describes the sexual practices and perceptions of risk among undergraduate
students attending a tertiary institution in Jamaica. The study was guided by
six research questions. To answer these research questions, a descriptive
survey design was used for the study. A total of 63 undergraduate students were
selected using the stratified random method. Data for the study were collected
through the use of a questionnaire and focus group discussion. The data were coded
and entered into SPSS version 20. Simple descriptive statistics (frequency and
percentage, cross-tabulation and t-test) were used to analyze the data. The
results showed that over two- thirds (85%) of the students were sexually active
and that the male students initiated their sexual activities earlier than the
female students. It was revealed
that 12.6% of the respondents had their first sexual encounter when they were less
than ten years old. The findings of this study showed that a greater number of
females (41.0%) reported using a condom on their first sexual encounter when
compared to 20.6% of the male undergraduate students. Although 88.8% of the respondents reported seeing
the promotional
advertisement about safe sex, 11.2% stated that the advertisements were not
convincing, for example they stated: “it did not convince me, and needed to
show more than the risk”, and “not doing enough to scare young people about
STD”. This has serious implications for how prevention messages are fashioned.
The study indicates
the need for partnerships to improve the STI/HIV risk reduction interventions
in Jamaica. Based on the sexual practices identified in this
study, undergraduates at this particular university are at risk of contracting
STIs making them susceptible to cervical cancers, infertility and unwanted
pregnancies. Based on the
findings and their implications, six recommendations were made on how to use
the platforms that will appeal to this group of undergraduate students in
practicing safe sex.
Cite this paper
Pusey-Murray, A. and Onyefulu, C. (2015). Sexual Practices and Perceptions of Risk among Undergraduate Students Attending a Tertiary Institution in Jamaica: A Pilot Study. Open Access Library Journal, 2, e1261. doi: http://dx.doi.org/10.4236/oalib.1101261.
Crawford, T., Gardner, M.T. and McGrowder, D.A. (2008) A Contemporary Analysis of Sexual Trends and
Transmitted Infections among Outpatient at Two Public Hospitals in Jamaica. American Journal of Infectious Diseases,
4, 109-116. http://dx.doi.org/10.3844/ajidsp.2008.109.116
Weinstock,
H., Berman, S. and Cates, W. (2000) Sexually Transmitted Diseases among
American Youth: Incidents and Prevalence Estimates. Perspectives on Sexual and Reproductive Health, 36, 6-10. http://dx.doi.org/10.1363/3600604
Rosenstock,
I.M., Strecher, V.J. and Becker, M.H. (1994) The Health Belief Model and HIV
Risk Behavior Change. In: DiClemente, R.J. and Peterson, J.L., Eds., Preventing
AIDS Theories and Methods of Behavioral Interventions, Plenum Press,New York, 5-24.
Lapinski,
M.K. and Witte, K. (1998) Health Communication Campaigns. In: Jackson, L.D. and
Duffy, B.K., Eds., Health Communication Research: A Guide to Developments andDirections, Greenwood Press, Westport, 139-161.
Rosenstock,
I.M., Strecher, V.J. and Becker, M.H. (1994) The Health Belief Model and HIV
Risk Behavior Change. In: Di Clemente, R.J. and Peterson, J.L., Eds., Preventing
AIDS Theories and Methods of Behavioral Interventions, Plenum Press, New
York, 5-24.
Freimuth,
V.S. (1992) Theoretical Foundations of AIDS Media Campaigns. In: Edgar, T.,
Fitzpatrick, M.A. and Freimuth, V.S., Eds., AIDS: A Communication Perspective,Lawrence Erlbaum Associates, Hillsdale, 91-110.
Michal-Johnson,
P. and Bowen, S.P. (1992) The Place of Culture in HIV Education. In: Edgar, T.,
Fitzpatrick, M.A., and Freimuth, V.S., Eds., AIDS: A Communication Perspective,Lawrence Erlbaum Associates, Hillsdale, 147-172.
Crawford,
T., Gardner, M.T. and McGrowder, D.A. (2008) A Contemporary Analysis of Sexual Trends and Transmitted Infections
among Outpatient at Two Public Hospitals in Jamaica. American Journal of Infectious Diseases,
4, 109- 116. http://dx.doi.org/10.3844/ajidsp.2008.109.116
Harding,
A.K., Anadu, E.C., Gray, L.A. and Champeau, D.A. (1999) Nigerian University
Student’s
Knowledge, Perceptions, and Behaviours about HIV/AIDS: Are These Students at
Risk? The Journal of the Royal Society
for the Promotion of Health, 119, 23-31. http://dx.doi.org/10.1177/146642409911900105
Ntata,
P.R., Muula, A.S., Siziya,
S. and Kayambazinthu, E. (2008) Gender Differences in University Students’
HIV/AIDS Related Knowledge and Sexual Behaviours in Malawi: A Pilot Study. Sahara Journal, 5, 201-205. http://dx.doi.org/10.1080/17290376.2008.9724920
Prince,
A. and Bernard, A. (1998) Sexual Behaviors and Safer Sex Practices of College
Students on a Commuter Campus. Journal of
American College Health, 47, 11-21. http://dx.doi.org/10.1080/07448489809595614
Wang,
Y. and Pillai, V. (2004) AIDS and Culture: A Study of Taiwanese
University Students in the United States. Journal
of Social Work Research and Evaluation, 5, 41-48
Jemmott, L.,
Jemmott, J. and Villarruel, A. (2002) Predicting Intentions and Condom Use
among Latino College Students. Journal
Association Nurses AIDS Care, 13, 59-69. http://dx.doi.org/10.1016/S1055-3290(06)60201-X
Salina,
D., Razzano, L. and Lesondak, L. (2000) Influence of Health Beliefs, Attitudes
and Concern about HIV/AIDS on Condom Use in College Women. Journal of Prevention Intervention Community,19, 41-53. http://dx.doi.org/10.1300/J005v19n01_03
Winfield,
E.B. and Whaley, A.L. (2002) A Comprehensive Test of the Health Belief Model in
the Prediction of Condom Use among African American College Students. Journal
of Black Psychology, 28,
330-346. http://dx.doi.org/10.1177/009579802237541
Conley,
T. and Collins, B. (2005) Differences between Condom Users and Condom Nonusers
in Their Multidimensional Condom Attitudes. Journal
of Applied Social Psychology, 35, 603-620. http://dx.doi.org/10.1111/j.1559-1816.2005.tb02137.x
Duncan,
C., Miller, D.M., Borskey, E.J., Fomby, B., Dawson, P. and Davis, L. (2002)
Barriers to Safer Sex Practices among African American College Students. Journal of National Medical Association,
94, 944-951.
Ferguson, Y.O., Quinn, S.C., Eng, E.
and Sandelowski, M. (2006) The Gender Ratio Imbalance and Its Relationship
to Risk of HIV/AIDS among African American Women at Historically Black Colleges
and Universities. AIDS Care,18, 323-331. http://dx.doi.org/10.1080/09540120500162122
Pavlich, H.R., William, A., Dianne Kerr, D.K. and
Thompson, A. (2007) Students’ Perceptions and Beliefs about Sexually Transmitted
Infections.The Health Education
Monograph Series,
24, 1-5.
Tangmunkongvorakul, A., Carmichael,
G., Banwell, C., Utomo, I.D. and Sleigh, A. (2011) Sexual Perceptions and Practices of Young People in
Northern Thailand. Journal of Youth Studies, 14, 315-339. http://dx.doi.org/10.1080/13676261.2010.522562
Mahoney,
C.A., Thombs, D.L. and Ford, O.J. (1995) Health Belief and Self-Efficacy Models: Their
Utility in Explaining College Student Condom Use. AIDS Education and Prevention, 7, 37-49.
Baghianimoghaddam,
M.H., Rahaii, Z. and Khani, P. (2010)Health
Belief Model and HIV/AIDS among High School Female Students in Yazd, Iran. Journal of Research in Medical Sciences,
15, 189-190.
Seloilwe, E.S. (2005) Factors That Influence the
Spread of HIV among Students of the University of Botswana. Journal of the
Association of Nurses in AIDS Care,
16, 3-10. http://dx.doi.org/10.1016/j.jana.2005.03.003
Abels, M.D. and Blignaut, R.J. (2011) Sexual-Risk Behaviour among
Sexually Active First-Year Students at the University of the Western Cape,
South Africa. African
Journal of AIDS Research, 10,
255-261. http://dx.doi.org/10.2989/16085906.2011.626295
Kaufman,
C.E. and
Stavrou, S.E. (2002) Bus Fare, Please: The Economics of Sex and Gifts
among Adolescents in Urban South Africa. Policy Research Division Working Paper No.
166,
Population Council,
New York.
MacPhail, C. and Campbell, C. (2001) I
Think Condoms Are Good but, I Hate Those Things: Condom Use among Adolescents
and Young People in a Southern African Township. Social Science and Medicine, 52, 1613-1627. http://dx.doi.org/10.1016/S0277-9536(00)00272-0
Imaledo, J.A.,
Peter-Kio, O.B. and
Asuquo, E.O. (2012) Pattern of Risky Sexual Behavior and
Associated Factors among Undergraduate Students of the University of Port
Harcourt, Rivers State, Nigeria. Pan African
Medical Journal, 9, 97.
Kaestle,
C.E., Halpern, C.T., Miller, W.C. and
Ford, C.A. (2005) Young Age at First Sexual Intercourse and Sexually
Transmitted Infections in Adolescents and Young Adults. American Journal of Epidemiology, 161, 774-780. http://dx.doi.org/10.1093/aje/kwi095
Buttmann,
N., Nielsen, A., Munk, C., Liaw, K.L. and Kjaer, S.K. (2011) Sexual Risk
Taking Behaviour: Prevalence and Associated Factors. A Population-Based Study
of 22,000 Danish Men. BMC Public Health, 11,
764. http://dx.doi.org/10.1186/1471-2458-11-764
Fatusi, A.O. and Blum, R.W. (2008) Predictors
of Early Sexual Initiation among a Representative Sample of Nigerian Adolescents. BMC Public Health, 8, 136-150. http://dx.doi.org/10.1186/1471-2458-8-136
Ntata,
P.R., Muula, A.S., Siziya,
S. and
Kayambazinthu, E. (2008) Gender Differences in University Students’ HIV/AIDS
Related Knowledge and Sexual Behaviours in Malawi: A Pilot Study. Sahara Journal, 5, 201-205. http://dx.doi.org/10.1080/17290376.2008.9724920
Okonta, P.I. and Oseji, M.I. (2006)
Relationship between Knowledge of HIV/AIDS and Sexual Behavior among In-School
Adolescents in Delta State, Nigeria. Nigeria
Journal of Clinical Practice, 9,
37-39.
Asante, K.O. and Doku,
P.N. (2010) Cultural Adaptation of the Condom Use Self-Efficacy Scale (CUSES)
in Ghana. BMC Public Health, 10, 227. http://dx.doi.org/10.1186/1471-2458-10-227
Petersen, I., Bhana, A. and McKay, M. (2005) Sexual Violence and Youth in South Africa: The Need
for Community-Based Prevention Interventions. Child Abuse Neglect, 29, 1233-1248. http://dx.doi.org/10.1016/j.chiabu.2005.02.012
Croft, C.A. and Asmussen, L. (1992) Perceptions of Mothers,
Youth, and Educators: A Path toward
Détente Regarding Sexuality Education. Family
Relations, 41, 452-459. http://dx.doi.org/10.2307/585590
Raffaelli, M., Bogenschneider, K. and Flood, M.F. (1998) Parent-Teen Communication about Sexual
Topics. Journal of Family Issues, 19,
315-333. http://dx.doi.org/10.1177/019251398019003005
Temin, M.J., Okonofua, F.E., Omorodion,
F.O., Renne, E.P. and Coplan, P. (1999) Perception of Sexual Behaviour and Knowledge
about Sexually Transmitted Disease among Adolescents in Benin City, Nigeria. International Family Planning Perspective,
25, 186-190. http://dx.doi.org/10.2307/2991883